MATHEW JOHN JOSEPH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

First Name

MATHEW

Middle

JOHN

Last Name

JOSEPH

Suffix

Business Name

MATHEW JOHN JOSEPH MD

Original Issue Date

05/25/2005

Effective Date

06/10/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011